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SCITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Alaina Salvatore Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 1751 Grant St Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (402) 426-8151 Drivers License #: or Date of Birth: 05/12/1958 Subtotal licensed pets from below: Replacement Tags from below: Name: Barney Color: Golden Spayed/Neutered: True Mirochip # Vaccination Date: 07/19/1017 DOB: 03/06/2017 Sex: Male Breed: Golden Retriever Duration:4'I)year vaccine Vaccine Exp: 0?11912048 License Fee $ Replacement: ❑Y ON City Tag # 2182 dj/� \/ Total: CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: SATTERFIELD, JAMES L & MARY LOU Spayed/Neutered Dog or Cat: $11.00 Owner Address: 350 S 12TH ST Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: BLAIR, NE, 68008--0000 Operator Inspection Program Phone * (402) 427-4672 Drivers License #: or Date of Birth: Name: Baby Girl Color: Black Spayed/Neutered: True Mirochip # Vaccination Date: 5/17/2017 Subtotal licensed pets from below: Replacement Tags from below: DOB: Not on File Sex: Female Breed: Chihuahua Duration: 3 year vaccine Vaccine Exp: 5/17/2020 License Fee $ Replacement: ❑Y ON City Tag # 1913 Total: ��6'I CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: SATTERFIELD, JAMES L & MARY LOU Spayed/Neutered Dog or Cat: $11.00 Owner Address: 350 S 12TH ST Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: BLAIR, NE, 68008--0000 Operator Inspection Program Phone #: (402) 427-4672 Drivers License #: or Date of Birth: Name: Bear Color: Brown Spayed/Neutered: False Mirochip # Vaccination Date: 5/17/2017 Subtotal licensed pets from below: Replacement Tags from below: DOB: Not on File Sex: Male Breed: Chihuahua Duration: 3 year vaccine Vaccine Exp: 6/17/2020 License Fee $ Replacement: ❑Y ON City Tag # 1914 Total: FROM :BSAC FAX NO. :402-533-2722 Apr. 04 2019 08:52AM P1 CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in f3lair City limits and own a dog($) and/or cat(s), complete/verify this fown and roturn with check made payable to: City of Blair * 218 S 1 Sth St. * glair, NE 68008 you may legally own 5 Combination of four (4) adult peas, but no mQre than three (3) adult Clogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWAL,% ARE DUE: March 15, 2010 LICENSE FEES; Dog or Cat; $18.00 Owner Name: Debbie & Keith Saville Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Last Tag: $5.00 Owner Address: 633 N 16th St Fee includes $1.25 for the Nebraska dog and teat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program 'hone #: (402) 427-5241 Drivers License : or Date of Birth: 6/611958 Subtotal licensed !pets from below:.. Replacement Tags from below: Name; Buster DOB: 6/1812011 Sex: Male License Fee $ Color: Black Breed: Mix Breed Rep c rnant: Spayed/Neutered: True Mirochlp # 40323EIG26 City Tag # 1308 Vaccination Date: 7126/2017 Duration: 3 year vaccine Vaccine Exp: 7/25/2020 Total; b �i 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A,CHECK PAYABLE TO. - CITY OF BLAIR - 218 S. 16TH Sr _ BLAIR I NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) AULT PETS BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIALD, OR DWELLING UNIT, "PLEASE READ CAREFULLY*** ��W �T —�R PETS. �RE RI UIRED BY LICENSE Failure to do so 11 a V10lation Of CRY Ordihances 6,1()� and carries a penalty of a fine up to $150-OU per pet. PET LICENSE RENEWALS ARE QQE BY 3/15/2019. The city shall recognize a microchip ID number as the —license number, It Shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of Blair for such dog or cat. NEWPET—LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS T �0 GLAIR Must register Pets Within 10 days Of residency Owner Name Spouse Owner Address CRY/State/Zip 'hone —# DL # or Dos PET * j Pet Name,- Teddy Lloyd Scheve Jeanne 1180 Voss Circle Blair, NE 68008 402-426-9836 Age., 4Y Sex: Neutered Male Color: Black Breed; Schnoodle Declared Dlt"—ige—rOu—sl—Pckt—ent—ially—Dan—(Ier—OU%—Do—Sg;NoYES, Microchip # 985:L12C0-1546�7-67 Rabies Description: 1 YEAR Holstein Veterinary Clinic Dr, Lisa Schrrim DVM & Dr. KIstQ Holstein DVM 718 South 19'h Street Blair, NE 68008 402-426-7387 402-426-0101 ' FaX holsteinclinic@gmaii.com City Tag # , I Rabies Tag # JL6439 3 YEAR LICENSE FEES Intact Dog or Cat: $16,O0 or cat. sil.00 Replacement Tag $5.0o Total $--!I— FAXED 1 02-19-19 3:47p BY TOTAL PAGES TO/To 39vd DINI-10 i3A NI3iS-10H TOT0930600 85:9T GT06/GT/30 E-1 CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair* 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: I arch 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: SCHOOK, NEIL &Spayed/Neutered Dog or Cat: $11.00 Owner Address: 242 E RIVERVIEW DR Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: BLAIR, NE, 68008--0000 Operator Inspection Program Phone #: <NO PRIMARY PHONE> Drivers License #:H13316813 or Date of Birth: 2/5/1965 Name: Max Color: Tri-Color Spayed/Neutered: True Mirochip # Vaccination Date: 1/7/2017 Subtotal licensed pets from below: Replacement Tags from below: DOB: Not on File Sex: Male Breed: Pembroke Welsh Corgi Duration: 3 year vaccine Vaccine Exp: 1/7/2020 License Fee $ Replacement: ❑Y ON City Tag #T7 Total: CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Mary`Shubert _ ! ,- Spayed/Neutered Dog or Cat: $11.00 Owner Address: 1354 Wilbur St Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (402) 427-4409 Drivers License #: or Date of Birth: Subtotal licensed pets from below: Replacement Tags from below: Name: Nellie DOB: 3/15/2010 Sex: Female License Fee $ Color: Black Breed: Mix Breed Replacement: Spayed/Neutered: True ❑Y ON Mirochip # City Tag # 1150 Vaccination Date: 7/16/2016 Duration: 3 year vaccine Vaccine Exp: 7/15/2019 Total: °` CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Mary Shubert Spayed/Neutered Dog or Cat: $11.00 Owner Address: " 1354 Wilbur St Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (402) 427-4409 Drivers License #: or Date of Birth: Name: Charlie Color: Brown Spayed/Neutered: True Mirochip # Vaccination Date: 11/9/2017 Subtotal licensed pets from below: Replacement Tags from below: DOB: 4/1/2012 Sex: Male Breed: Domestic Shorthair Duration: 3 year vaccine Vaccine Exp: 11/9/2020 License Fee $ Replacement: ❑Y ❑N City Tag # 1149 Total: CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Mary Shubert Spayed/Neutered Dog or Cat: $11.00 Owner Address: 1354 Wilbur St Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (402) 427-4409 Drivers License #: or Date of Birth: Subtotal licensed pets from below: Replacement Tags from below: Name: Kujo Color: Black Spayed/Neutered: True Mirochip # Vaccination Date: 11/1/2017 DOB: 3/15/2010 Sex: Male Breed: Labrador Retriever Duration: 3 year vaccine Vaccine Exp: 11/1/2020 License Fee $ Replacement: ❑Y ON City Tag # 1151 Total: °` CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Mary Shubert Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 1354 Wilbur St Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (402) 427-4409 Drivers License #: or Date of Birth: Subtotal licensed pets from below: Replacement Tags from below: Name: Token Color: Spayed/Neutered: True Mirochip # Vaccination Date: 11/9/2017 DOB: 3/15/2008 Sex: Male Breed: Siamese Duration: 3 year vaccine Vaccine Exp: 11/9/2020 License Fee $ / Replacement: ❑Y ON City Tag # 1597 Total: } CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a clog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Julie Schrader Spayed/Neutered Dog or Cat: $11.00 Owner Address: 2262 Jackson St Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (402) 658-9315 Drivers License #: or Date of Birth: 7/27/1960 Subtotal licensed pets from below:` Replacement Tags from below: Name: Nelli DOB: Not on File Sex: Female License Fee $ Color: Brown Spayed/Neutered: True Mirochip # 981020005496659 Vaccination Date:4122/7615' - Breed: Labrador Retriever Duration: 3 year vaccine Vaccine Exp Repla ement: ❑Y PN City Tag # 1867 Total: �.` C C— t CITY OF BLAIR -201-8 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S. 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15,20." )011 LICENSE FEES: Dog or Cat: $16.00 Owner Name: SCHRODER, PAULA K Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 2403 WASHINGTON ST Fee includes $1.00 for the Nebraska Dog and City/State/ZIP: BLAIR, NE, 68008--0000 Cat Operator Inspection Program Phone* <NO PRIMARY PHONE> _{{ " Drivers License #:G29008805 or Date of Birth: 12/6/1947 Subtotal licensed pets from below: Replacement Tags from below: Name: Mary DOB: Not on File Sex: Female License Fee $ Color: Blonde Breed: Yorkshire Terrier Replacement: Spayed/Neutered: True Dangerous Dog: OY ON Mirochip # Potentially Dangerous: City Tag # 1344 Vaccination Date: 11/4/2014 Duration: 3 year vaccine Vaccine Exp: 11/4/2017 Total: CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 Owner Name: Ryan & Brenda Schroeter Owner Address: 2020 Fieldcrest Dr City/State/ZIP: Blair, NE 68008--0000 Phone #: (402) 426-1820 Drivers License #:G00315990 or Date of Birth: 8/9/1974 LICENSE FEES: Dog or Cat: $16.00 Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat Operator Inspection Program Subtotal licensed pets from below: Replacement Tags from below: Name: Mae DOB: 1/1/2012 Sex: Female License Fee $ it Color: Silver Breed: Labrador Retriever Replacement: Spayed/Neutered: True ❑Y 'N Mirochip # 981020005505426 City Tag # 4-715- Vaccination Date: 4/25/2.01-5 Duration: 3 year vaccine DC) I Vaccine Exp: 4/�'25/20'I$ �� Total: (� U CE13TT PIk-c�TI; Date of Rabies Vaccination: 4/24/2018 Next Rabies Vaccination On: 4/23/2021 VETERINARY CLINIC Rohrig Animal Hospital 225 N. 3rd St. Arlington, NE 68002 402,478-4141 This is to certify... Certificate No: 0 Previous Rabies Vaccination: OWNER OF ANIMAL Ryan Schroeter 1141 Stillmeadow Circle Blair, NE 68008 County: Washington THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Mae TAG NO: 021777 SPECIES: Canine WEIGHT: 55.00 SEX: Spayed Female AGE: 4Y Color and markings: Silver MATT TALBOT Vaccinations done... License: 3220 4/24/2018 MT RABIES 3 YEAR, #021777 4/23/2021 4/24/2018 MT DHLPP ADULT BOOSTER 4/23/2020 4/24/2018 MT BORDETELLA ANNUAL BOOSTER 4/24/2019 3/21 /2017 KR LEPTO BOOSTER 4/24/2019 Rabies Vaccine Information... MFG BY: NOBV SER.NO: 4150447A LOT EXP: 04/21 /19 ADM: SQ Mal- 22 19 11:10a Thone Animal Care 4024265808 p.1 CITY OF BLAIR - 2019 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair a 218 S. 161h St. + Blair, NE 68008 w You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUB: March 15, 2019 Owner Name: �r-cl — Owner Address: �C)" G } V--, C� City/State/zip: Blair, NE 68008 Phone # •`21,C, 22 . ..`��7 (:D ( Q Drivers license # or Date of Birth LICENSE FEES: Dog or Cat. $16.00 Altered Dog or Cat: $11.00 Replacement Fee: for Lost Tag: $5.00 Included is a State Fee of $1.2S being collected to fund the * **PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS, Failure to do so is a violation of City ordinances 5,10E and carries a penalty of a fine up to $iso,oa per pet, PET LICENSES RENEWALS ARE DUE BY 311512018. The City shall recognize a microchip Identification number as the I:cense number, It shall be unlawful for any dog or cat to wear any license or other city Idendfication other than that issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination. PET #'1 CI Dog @9 Cat JZI Spayed/Neutered License Fee $ Pet Name sib �k�. "� UL Aqe try Sex Y�YnC Colors a _ Breed *pl�Y"zc iC `.`1�„ReplaC�ment $ ** Declared Dangerous or Potentially Dangerous Dog: 0 Y N i MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATA: (3 yr) -,k'— (1 yr) City Tag PET #'2 Ll Dog )Cat �A payed/Neutered License Fee $ Pet Name 3 cc � o'u Sex c; _ Color `C� r Breed,,-* - Replacement Declared Dangerous or Potentially Dangerous Dog: ❑ Y AN MICROCHIP # $5 �1"�r�i (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE:_ (3 yr) (1 yr) � City Tag # i PET #3 0 Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Aqe Sex Color Breed?* Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y U N MICROCHIP # (If applicable) SUBTOTAL, $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Donation to care for anirr6is: $i $3 $5 $10 Other_ ***SEE BACK OF FORM FOR BREED SPECIFIC LICENSE REQUIREMENTS Do Not Send Cash by Mail TOTAL ENCLOSED $ VISA / MC # Expires: Security Code: Signature If you have questions, please contact City Hall at (402) 4264197 or by Fax: (402) 426-4195 +-Ff.-h * -F +.++.............-i ....+*+++-h 4....++* -I-..... -h++++ .+++4................... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March15late (eedate not applrcablefor newpets/newresidenbs) Newly Acquired Pets: New Residents to Blair: • Must be licensed within 10 days of ownership E Must register pets within 10 days of • <OR> at 6 months of age if puppy/I"One AnimaI Care of Blair residency, (402) 426-3630 902 S. HWy 30 Blair, NB 68008 iy �C CITY OF BLAIR - 2019 PET LICENSE APPLICATION If you live in Blair City limits and own a clog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair • 218 S. 16th St. • Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 Owner Name: f 6' `-i J U "-) "D- c", 's " f t Owner Address: City/State/Zip: Blair, NE 68008 Phone # `l' 4 )11-1 Q Ld ' V C' Drivers License # or Date of Birth / — % j LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/1512019. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination. Included is a State Fee of $1.25 being collected to fund the Nebraska Doq & Cat PET # 1 Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name � Aye % i I Sex 01 Color Breed * e, Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ C RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # ,� - PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Age Sex Color Breed" Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ M (1 yr) License Fee $ Replacement $ SUBTOTAL: $ City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Aye Sex Color Breed * Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Donation to care for animals: $1 $3 $5 $10 Other, ***SEE BACK OF FORM FOR BREED SPECIFIC LICENSE REQUIREMENTS VISA / MC # Signature Do Not Send Cash by Mail TOTAL ENCLOSED $ Expires Security Code: If you have questions, please contact City Hall at (402) 426-4191 or by Fax: (402) 426-4195 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicable fornewpets/new residents) Newly Acquired Pets; New Residents to Blair. ■ Must be licensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. VETERINARY CLINIC Countryside Small Animal 1306 Stevenson Fort Calhoun, NE 68023 402-468-4060 OWNER OF ANIMAL Meadow Scott 701 N 14th Ave Blair, NE 68008 County: This is to certify... THAT I SPAYED OR NEUTERED THE ANIMAL DESCRIBED BELOW ON 05-02-19. Patient information... PATIENT: Louis AGE: 19W SPECIES: Canine WEIGHT: 32.80 SEX: Neutered Male BREED: Boxer Color and markings: Fawn and White Signed Kaycee Points LNTrt41r1T.TC*T1r-rqT6T1T--3p License: 05-02-19 KNP Canine Bordetella Oral 05-01-20 04-06-19 KNP Canine Bordetella Intranasal Initial 04-06-19 KNP Canine Rabies Vaccn, 1 yr, #19-0347 04-06-19 KNP Canine DA2PPL 04-05-20 02-26-19 KNP Canine DA2PP n 0 s rho n v 0rD o g ry cn z a' o77- o E, i 0 r rD 0 o cn X J n AGE Canine: DATE Duramune© wks 1�vo L�vksks;ks 7 r� Lks 1 yr 2 yrs 3 yrs 4 yrs 5 yrs 6 yrs 7 yrs 8 yrs 9 yrs 10 yrs 11 yrs 12 yrs 13 yrs 14 yrs 15 yrs 16 yrs Wellness Exam Distemper V v v Adenovirus 2 ✓ fr v Parvovirus ✓ V v Parainfluenza k" ✓ Coronavirus Bordetella' ✓ V Leptospirosis Lyme Disease Rabies Tag# - 1 Other Feline: Fel-O-Vax' or Fel-O-Guard' Wellness Exam Feline Leukemia FIV Panleukopenia Calicivirus Rhinotracheitis FIP Rabies Tag # Other AGE DATE wks / —wks _ wks _ wks 1 yr 2 yrs 3 yrs 4 yrs 5 yrs 6 yrs 7 yrs 8 yrs 9 yrs 10 yrs 11 yrs 12 yrs 13 yrs 14 yrs 15 yrs 16 yr Fecal Exam Deworming Heartworm Lyme Leukemia FIV Other k ZceV ✓ A*a/Tick Control (Pet owner should record treatments each month) ©MMMMMMMMMMMM ®MMMMMMM.MMMMM 0MMMMMMMMMMMM ©MMMMMMMMMMMM �MMMMMMMMMMM-, 0M�MMMMMMMM � mmmmmmmmmmmm �MMMM MMMMMM- ��MMMMMMMMM® 03/21/2019 15:53 4024260101 HOLSTEIN VET CLINIC PAGE 01/02 2019 PET LICENSE VERIFICATION/APPLICATXON FOR. CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLFTE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16T" ST — FLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR, (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL. OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED 9Y LAW To LICENSE YOUR IUS. Failure to do so is a violation of City Ordinances 6.103 and carries a pnalty of a fine up to $150,00 per pet. PET LICENSE RENEWALS ARE DUE BY 3 15 2019. The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the city of Blair for such dog or cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months Of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency owner Name Spouse Owner ,Address city/state/Zip Phone # DL # or DOB Pet Name: Ruby Age: 3Y sex: Spayed Female Breed: Lab Dennis Sellon Mary 1029 N 28th Ave Blair, NE 68008 402 -426-4497 Color: Red Declared Dangerous/Potentially Dangerous Dog Microchip # Rabies Description: 1 YEAR. Holstein Veterinary Clinic Dr. Liso Schrum DVl & Dr, Krista Halstgzn DVM 18 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic atmail.com NO Y9S City Tag # `—i Rabies Tag 1 4 6652 LICENSE FEES Intact Dog or Cat: $16.00 Dog or cat: $11.00 Replacement Tag $5,00 .�M Total 03/21/2019 15:53 4024260101 HOLSTEIN VET CLINIC PAGE 02/02 2019 PET LICENSE VERIFICATION,/APPLICATION FOR CITY OF BLAIR •IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR OAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16TH ST — SILAIR, NE 68008 YOU MAY LVGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT, ***PLEASE READ CAREFULLY*** YOU ARC REQUIRE) SY LAW TO LICENSE YOUR PETS. Failure to do so Is a violation of City Ordinances 6,103 avd carries a penalty of a fine up to $150,00 per pet, PET LICENSE RENEWALS ARE DUE EX 3 15 2019. The city shall recognize a microchip ID number as the license number_ It shall be unlawful for any dog or cat to wear any license or other city ID other than tkat issued by the City of Rlair for such dog or cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Mint register pets within 10 days of residency Owner Name Dennis SellOn Spouse Mary owner 1020 N 28th Ave City/state/Zip Blair, NE 68008 Phone # 402-426-4497 DL # or DOB eT Pet Narne' , Koval Age: 11Y Sex: Splayed Female Color: Chocolate Breed! Lab Declared Dangerous/Potentially Dangerous Dog Microchip #f' Rabies Description: 1 YEA.R, Holstein Veterinary Clinic Dr. jfsa Schrum DVM & Dr. Krista Holstein DV9 ,18 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax hoisteinclinic@gmaii.com CEkWEEN'/ I - City Tag # (_� I Rabies Tag # 14341 3 YEA LICENSE FEES intact Dog or Cat: $16.00 ,altered Dog or cat: $11-00 ReplaCernent Tay $5.00 Total $ ( _ PAXED 03-21-19 3:34p EY . TOTAL, PAGES 03/25/2019 12:24 4024260101 HOLSTEIN 'SET CLINIC PAGE 01/01 2019 PET LICENSE VERIFICA.TI+ON/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(5) ANO /OR, CAT(S), COMPLETF THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR - 218 S. 16T" ST I- BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, OUT NO MORE THAN THROB (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ;r**PLEASE READ CAREFULLY' YOU ARE RECItJIREi� BY LAW TO LICENSE YOUR PETS. Failuro to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $1.50.00 per pet PET LICENSE RENEWALS TARE dUE BY � 15 24� 9• The city shall recognize a microchip ID number as the license dumber. It shall be unlawful for any clog or cat to wear any license or other city ID 'other than that issued by the City of Blair for such dog or Cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO GLAIR Must register pets within 10 days of residency Owner Name Georgia Shafer spouse Owner Address 758 South 16th Street City/State/Zip Blair, NE 68008 Phone # 402-3112-5116 DL # or DOB ;T V Piet Name: Cinnamon Age: Sex: Spayed Female (Color: Brit Tabby Breed: Cash Declared Dangerous/potentially Dangerous Dog NO YES Microchip # city Tag # . I,I !;;..,,,r�,.,:.,,r,,. �,��;n'•i'I; Y:�v I:•^a. ..I '- I.: �:,. �, •,,. ,I. ;1;?tip � Ili'!i�aliiuu !c�!:.I.n u. ;lf -.. Irlf�h�.Pl y}� ■F .Yl/Ia ■ y, ` ! 'Irurrr: 1 Gllcl.. IL•��i. i�il�iiii'f�l� f11i717�`_t_Ia r�iV :�II:iJr {'J,i. lj f! j�Jl:e:vr(tti!.I ,� ,,,., ',i �I,?iiT l,y. l;lr„rp:i,rr j•I:.I,mi11.'i".:r�4n .,.i%.7',1"'w?.?!il {!,�{.;j �l 7, fY:l!I: '•"y!�i�;�Yll1ii .�j. Rabies lii g # .�1-. .I ��1.: Y� it •ill�jlL '�tillf� 'y�.:l t"L" 'iilli ii1S(I ilji.Jl :I Ili i�i • jl!1u:•=�lljll'�"'jai '_�' I:'il��If.• l •ii�I:ICI!IIIIli 11111I1 u•,,„'I,itm�..,...,.,ll,�.,;,,•J. 'Ylut{l,!ll;,n'I%IQrl;l�.l^^' e,., i rl� :;++11•np;!"i'�.,;I„1�J0,{�Iql lq��L4hu '„�, �. ':,•Sbr.�r,„� ,��,..L!„!. �,',i�`L.1. I'1: Ilhl!:u•,CI Rabies Descriptiom 1 YEAR, Holstein Veterinary Clinic Dr. ,Lzsa Schrum DVM & Dr. Krista holstein DVM 18 South 19th Strut Blair, NE 68008 402-426-7887 402-426-0101 Fax holsteinciinic@gmail.com LICENSE FEES Intact Dog or Gat: $16.00 og or cat: $11.0 Replacement Tag $5.00 Total $ � i FAXED 03-25-19 9:54a BY TOTAL PAGES �.j 03/15/2019 16:11 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2019 PET LICENSE VERIFICATION/APPLICATION FOP, CITY OF BLAIII IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS r6RM AND RLTURN WITH A CHECK PAYABLE TO; CITY OF BLAIR - 218 S. 16T" ST - BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT No MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. 'PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so Is a violation of City Ordinances 6.10 and carries a penalty of a fine up to $150.00 per pet. PET LICENSE RENEWALS AAE DUE BY 3/15/2019. The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of Blair- fol- such clog or cat_ NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at b months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 day$ of residency Owner Name Mary Shanks spomge Rockford owner Address 1850 Park 8t City/Mate/Zip Blair, NE 68008 YPhone # 402-426-8208 DL # or DOB Pet Name; Molly Age: 7Y sex. Spayed Female color: Gold Freed: Golden Retriever Declared Dangerous/Potentially dangerous Dog NO YES Microchip # City Tag # \ ';%,.�: L,.� „n•;,�t:,�.,,., w'rk�?i��i'� I/:+lll�,��:�;II��.r,,,.,, �I:•.r�l` �'i` rr1(:,cif:"l:.ri.,�t�i'411iW';i'<'rl'rir;�n,ia�1«,ijipr';;;I:..q„ ,::r..n:,•a1 •• �,;..u�: %;i,,�„i' �,.•_ l;ar'?o,r ��;+:,.I•:;: 1:��:ii:• '. Rabies Tag #' �.�i•4�.�7 :,,.:'•li ,,;'!':: i•�'',i )l�iii')i:: �f l::.ln .'�r':J L�:."vyll�pt!IF':.'.i .:�..;��r,,•�p, ..;.��. ,..'L,,ini�,;n,,,,.yr•,,., r.r.....i=lt•.yl1:1� ,..:,: , +:y;,..t ,.:.i L,,.0 . f u.,n .p ,;}I ::� .r,.... .h:.r ..I„r :: ,::. tlii�i' li4]".�;.:,:4jr.:�(t •! � ^yt'� '�",. c:.a n.i.ir•i 1 r�, ii5 �'' �re.•. lk,iYi�;.i�l7; e. �. Ju, i v nah4., .Il.r,a fiY!.1 tit. f Y.,.F.; kil I.:�il:ri:Y�ri• T i, :p,� 1,:,. Fl•. i!i{i � .r':pul��: .I i I1 et'h`++[SCottl .I�.�m,•;:'j',-i"r Rabies Description: 1 YEAR �.,,. EJ Holstein Veterinary Clinic Dr. Lisa Schrum DVM & Dr. Krista Holstein DVM 8 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax hoisteinclinic@)grnail,com LICENSE FEES Intact Dog or Cat- $16,00 -� ; EON Replacement rag $5.00 Total FAXED . 03-15-191:5Ep ' BY TOTAL PAGES y� FRAM :BSAC FAX 1,10. :402-533-2722 Jul. 29 2019 04:39PM P1 CITY OF BLAIR .2019 PET LICENSE APPLICATION if you live in Blair City limits and own a dag(S) and/or cat(s), Complete this form and return with CheCk made payable tu: city of Blair + 218 S. i6th Sid. • Biaiiir, NE 68008 you may legally own oa combination of f (4)radult pettst but omom nq no than three (3) adult dogs r three (3) adu ksetscl LICENSE RENEWALS ��ARE UE: M 3 Owner NOttwa+ t�uInu 40 owner Addraaig- �G P r�Y ca city/state/zip: Blair, NE 68008 Phona # `-tca- ��&_ Drivers Llcerft * or Data of Birth LICENSE FEES: Dog or Gat: $16.00 Aiteired DoO or Cat: $1 ,00 Replaloment Fee for Lost Taig: $5.00 * VLEASE READ CARI1 JLLY*** YOU ARE RCQUIRRO BY LAW TO LICEN911 YOUR PETS. b penvi,tO ty or a tine upto� 50.00 per pr cingl�� 6 'jQ3 end cbrCie! PET LXCFnSES RENEWALS ARO DUE OY 3„1a49/201 . -the City 611all retat1t11Y,e a mltr hlp identitleation number 08 the lfwnr a number. It NNill be ubtawful for bny dog or eat to wear any iirense or btfler city IdWtiricatioh other than that Ia4ued by We City of Olalr far such d00 Or cat, Thg City of Blair requirdt4 MO of rabiM vuecinatfoh, 1luuucm FQ. P .. oy . Fria M• --- =•• PET #'1 ❑ Dog Cat Spayed Neutered - License Fee$ --- Pet Namfi�l:5 A( Sex Re l c rent$ Color - reed _ i1,�nf6 yS4- .S f� Declared Dangerous or Potentially Dangerous Dog: L3 Y 'AN MICROCHIP (If applicable) ()Ltf suBTOTAL: $ RABIES VACCINATION DATE'd /! (3 yr) , r yr) _ City Tag # PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee _ Pet Name_ Age .� Sex � Replacement $ ** Color reed R Declared Dangerous or Potentially Dangerous Dag: U Y Q N MICROCHIP •# (If applicable) SUBTOTAL: $ -- RABIES V'ACCTNATION CRATE: (3 yr) -- (I yr) — City Tag PET #3 U Dog ❑ Cat 0 Spayed/Neutered i.icense Flee Pet Name A e T—m 'Sex Re lacemer�t Color Breed la Declared Dangerous Dangerous or Potentially Dangerous Dog, 0 Y ❑ N MICROCHIP •#, (If applicable) SUBTOTAL., $ RABIES VACCINATION DATE: (3 yr) _ (I yr) City Tag *PLEASE INCLUDE THE+ CM TAG NUMBER IF 71HIS IS A IWIMAL ** (This feA Is due along with License Fee if requesting at the time of ilcenie renewal.) Donat lon to care for animals- T $i _ $3 _ — $10 Other,. ^.....__-- ***5EF PACK of lroRM FOR BREED SPECIFIC LICENSE REQUXREMEniT'S Do Not Send Qosh by Mall TOTAL ENCLOSED $ VISA / MC # u.� -_ _ r---, >yxpiros: .. Security Code. , Signature M If you have questions, phrase contact City Wall at (402) 426-411t)l or by Faux: (402) 426-4105 *d•..4.+t++t++++**......t+ttt++++M.4........++.+........ F......tt+t+++++......fit NFw Pr'/NEVII RESIDENT LICENSING $tl!QUIREMENTS 151at,T�d ddtiqnotappllcabletornewpets,hewimfdef*) -,$,gSildenta.tlz.Elairt ... ■ Nhtst kiee wlihil110 daysof owns' �Ip rt Must regidgr pets within to days of N <0R> at 5 morM5 of age Ti UPPY/Kftn re&lon y, buy CITY OF BLAIR - 2019 PET LICENSE VERIFICATION - If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Elizabeth Sheets Spayed/Neutered Dog or Cat: $11.00 Owner Address: 623 N 24th St Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (402) 426-3538 Drivers License #:H12909210 or Date of Birth: Subtotal licensed pets from below: Replacement Tags from below: Name: Chloe DOB: Not on File Sex: Female License Fee $ Color: White/Black/Brown Breed: Mix Breed Replacement: Spayed/Neutered: True ❑Y ON Mirochip # City Tag # 1842 Vaccination Date:,.2/9/20'19- Duration: 3 year vaccine Vaccine Exp: 2/9/2019 t Total: CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Cory Shelton Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 1211 Pinewood Dr Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (701) 306-4897 Drivers License #: or Date of Birth: 11/16/1989 Subtotal licensed pets from below: Replacement Tags from below: Name: Taya DOB: 3/26/2016 Sex: License Fee $ Color: Yellow Breed: Labrador Retriever Replacement: Spayed/Neutered: True ❑Y ON Mirochip # 956000009774543 City Tag # 2235 Vaccination Date: 6/26/2017 Duration: 3 year vaccine Vaccine Exp: 6/26/2020 Total: CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair* 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Marty & Polly Shepard Spayed/Neutered Dog or Cat: $11.00 Owner Address: 2138 Park St Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (402) 533-2739 Drivers License #: or Date of Birth: 9/25/1963 Subtotal licensed pets from below: Replacement Tags from below: Name: Matilda DOB: Not on File Sex: Female License Fee $ Color: White Breed: Domestic Shorthair Replacement: Spayed/Neutered: True ❑Y ❑N Mirochip # City Tag # 129 Vaccination Date: 2-%12016 Duration, year vaccine i I Vaccine Exp: g/16/201`9 Total: - CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Elizabeth Shields Spayed/Neutered Dog or Cat: $11.00 Owner Address: 325 N 21st St Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (402) 426-4239 Drivers License #:H13059511 or Date of Birth: 10/18/1953 Name: Bolt Color: Black Spayed/Neutered: True Mirochip # Vaccination Date: 3/26/2018 Subtotal licensed pets from below: Replacement Tags from below: DOB: 8/17/2013 Sex: Male Breed: Labrador Retriever Duration: 3 year vaccine Vaccine Exp: 3/26/2021 License Fee $ Replacement: ❑Y ON City Tag # 1414 Total: ala Ltv CITY OF BLAIR - 2019 PET LICENSE ADDITIONS If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 Owner Name: Elizabeth Shields Owner Address: 325 N 21st St City/State/ZIP: Blair, NE 68008--0000 Phone #: (402) 426-4239 Drivers License #:H13059511 or Date of Birth: 10/18/1953 LICENSE FEES: Dog or Cat: $16.00 Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat Operator Inspection Program Subtotal licensed pets from below:! Replacement Tags from below: Total: �Fe /F3 CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Z-ackery Shirk Spayed/Neutered Dog or Cat: $11.00 a r V Replacement Fee for Lost Tag: $5.00 Owner Address: 2221 Jackson St Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 operator Inspection Program Phone #: (402) 307-0302 Drivers License #: or Date of Birth: Name: Rosie Color: White/Brown Spayed/Neutered: True Mirochip # Vaccination Date: 07/03/2018 Subtotal licensed pets from below: Replacement Tags from below: DOB: 01/01/2016 Sex: Female Breed: Australian Shepherd Duration: 1 year vaccine Vaccine Exp: 07/03/2019 License Fee Replacement: ❑Y ❑N City Tag # 2421 Total: 09/10/2019 16:36 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2019 PET LICENSE VERIFICATION/APPLICATION POR CITY OF BLAIR. IF YOU DIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR. - 218 S. 16TH ST - BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF roUR (4) ADULT PETS, SUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. "VI -LASE READ CAREFULLY*** YOU ARE ftEQU[RED BY LAW�O LICENSE YOUR r'l rS. Failure to Rio so is a violation of City Ordinances 6.103 and carries a ponalty of a fine up to $150,00 per pet. PET LICENSE RENEWALS ARE DUE BY 3 15 2019. The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of Blair for such dog or cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner, Name Clint Short Spouse owner Address 876 S. 17th St city/state/zip Blair, NE 68008 402-3$0-0064 Rhone .# DI,. # or DOB 1 Pet Naive; Mya Age: 14M DOB: 07-12-18 Sex: r�palyecl FeimBlle Color: Breed: ; Aussie X Declar6d Dangerous/Potontiaily dangerous Dog NO YES Microchip # City Tag 6 S ar I r i i�R.9,Q,�J��^;•1,��,•,�'%:��;Fi��i��r�'fML�w�i6�nr ;,1. �i L� ,�I: �?r}��,i'��cdili°�a(lii$.r'•� I��r' ��i�{sl, abie R s Tag# 115U9 �1i.. .i •;,.I �'� �. ;.�, : r. `r.,, �,!?: nr ••md'�a, •`�;in•;,;;t:p,.y.;�.,.:;1`;,;5:,:14f.;(:��;r:dq�;ni'.1+.�f;,.,,1.i�_•�'k,;:.;;na'}rroi�;i?.�,P`J:Po��r,� � !•+taWr,�j.nt�1�:.,;++r + Iltl, 1 i ,t,�;i r. ?��jII� iar•,:,a„•..,•: li,��'•,I, 1. i,�i ,;�Ila ,,��,i.. ipwi�.,.y.;ii,d�t . •" t,rv,Ml+l.l;ncaf ni.T•G,rnr3�+N. ' �. +•... ,.. .i .. ��n .�• it .�l!GI�:.14'^�`>If, .`. �:�� -. � �. �v��....� .��r;,�6i Rabies; Description: Y A 3 YEAR Holstein Veterinary Clinic Dr.,Lisa Schrum DVM & Dr. Krista Holstein DVM 18 South 19th 5trelet Blair, NE 68008 402--426-7387 402-426-0101 Fax holsteincliniciD,gmail.com LICENSE FEES Intact Dag or Cat: $16_00 Altered Dog or Gat: $11.00 Total$ 1 CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Clint Short Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 876 S 17th St Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (402) 350-0064 Drivers License #: GA 6001W or Date of Birth: ubt tal licensed pets from below: Name: Loki Color: Tan Spayed/Neutered: True Mirochip # Vaccination Date: 05/29/2018 Replacement Tags from below: DOB: 01/31/2011 Sex: Male Breed: Pomeranian Duration: 1 year vaccine Vaccine Exp: 05/29/2019 License Fee $ Replacement: ,MY ❑ N City Tag # 2402 d� Total: I% CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Clint Short Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 876 S 17th St Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (402) 350-0064 Drivers License #:��(7(%%�f�(� or Date of Birth: U�l Sub otaI licensed pets from below: Replacement Tags from below: Name: Thor DOB: 01/31/2014 Sex: Male License Fee $ Color: Black Breed: Labrador Retriever Replacement: Spayed/Neutered: True �RY ON Mirochip # City Tag # 2401 Vaccination Date: 05/29/2018 Duration: 1 year vaccine Vaccine Exp: 05/29/2019 Total: P 0 CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Clint Short Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 876 S 17th St Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (402) 350-0064 Drivers License #. Gz� 00�-/&0 or Date of Birth: 171 Subto al licensed pets from below: Replacement Tags from below: Name: Nelly Color: Red/Blonde Spayed/Neutered: True Mirochip # Vaccination Date: 05/29/2018 r DOB: 01/31/2007 Sex: Female Breed: Mix Breed Duration: 1 year vaccine Vaccine Exp: 05/29/2019 License Fee Replacement: ,tS Y ❑ N City Tag # 2403 Total: y y CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: SIMONSON, JOHNNIE KEN & JEAN A Spayed/Neutered Dog or Cat: $11.00 Owner Address: 924 20TH AVE CIR Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: BLAIR, NE, 68008--0000 Operator Inspection Program Phone #: (402) 426-7158 Drivers License #: Name: Jag Color: White/Grey Spayed/Neutered: True Mirochip # Vaccination Date: §/23t' 017 or Date of Birth: 10/19/1961 Subtotal licensed pets from below: Replacement Tags from below: ,-A ° � I DOB: Noi on Fil Sex: Male Breed: Siberian Husky Duration: 1 year vaccine Vaccine Exp 1.2312018 License Fee $ Replacement: ❑Y VN City Tag # 1121 Total: FROM :BSAC FAX NO. :402-533-2722 Mar. 14 2019 05:30PM P1 CITY OF BLAIR - 2019 PET LICENSE ADDITIONS If you live in Blair City limits and own i dog(s) and/or cat(s), complete/verify this form and return with check made paYable to; City of Blair W 218 S 16th St. * Blair, NE 68008 You may legacy own a Combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult Cats per residential or dwell! rig unit. LICENSE FEES, Dog or Cat; $�fi.00 LICENSE RENEWALS ARE DUE: March 15, 2019 Spayed/Neutered Dog or cat; $11.00 Replacement Fee far Lost Tag: $5.00 Gwrier'Name: Anthony Smith Owner Address: 1467 Adams St City/5tate/ZIP: Blair, NE 68008 Phone C (402) 320-3137 Drivers License #:_,._� �.. Fee includes $1.25 for the Nebraska Dag and Cat operator Inspection Program or pate of Birth; 3 Subtotal licensed -pets from .below'.__ Replacement Tags from below:,_, Total: © Dog Q Cat �(Spayedil\leutered License Fee $ Pet Name 1y i �. Pet DOB — Sex _- o Color _ Breed Declared Dangerous or Potentially Dangerous Dog? ❑ Y iX N Microchip # Rabies Vaccination Dateyryr Ell yr 1. la Cat 0 Spayed/Neutered Ime Age Sex_ Breed Dangerous or Potentially Dangerous Cog? ❑ Y 0 N # Rabies Vaccination Dat w ,t ❑ Spayed/Neutered Pet D(,'ry Breed 'A5lyous of potentially OF License FeO $ — FROM :9GAC FAX M0. :402-533-2722 Mar. 14 2019 05:29PM P2 CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Flair city limits and own a (109(s) and/or cat(s), completolverlfy this form and return with check made payable to; City of Blair * 218 S 16tb St. * Blair, NE 68008 You may legally own a combination of four (4) adult Rats, but no more than three (3) adult dog$ or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ,ARE DUE: March 15, 2019 LICENSF FEES: Ong or Cat. $16.00 Owner Name: Anthony Smith spayed/Neutered Dog or cat: $11.00 Replacement Fee for Lo�;tTag: $5.00 Owner Address: 1467 Adams St Fee includes $1.25 for the Nebraska Dog and Cat Operator lmpoolon Program city/state/ZIP: 'Blair, NE 68008 Phone #; (402) 320-3137 Drivers License #: or Date of Birth:-34, V-- Subtotal licensed pets from below:_ Replacement Tags from below:,, Name; Captain Morgan DOB. Not on File Sex: Male _ License Fee $�..... Dolor. Red Breed: Yorkshire Terrier Replacement: DY ❑N SpayedlNeutered: False City Tag # 2060 ;,. Mirocttlp # Duration: 3 year vaccine Vaccination Date: 211191206 - < Vaccine Exp.,,-211,912018 Total. '- FROM :HSRC FAX 110. :402-533-2722 Mar. 14 2019 05:28PM Pi CITY OF RLAIR - 2019 PET LICENSE ADDITIONS If you iNe la Oielr City limits and of m Blair* o (s96th SC t)i"e *Blair, NE 88000 �fYthla (on and with check made payable tocity'. you may legally own ltoatefour por adult r¢ald n0a�l ordweimom ing uunitthree (3)adult dogs or thma(3) adult LICENSE RENEWALS ARE DUE; March 15, 2019 LICrNSE FEESt Dog or Cat! $16.00 Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Name: Anthony Smith Fee includes $175 for the Nebraska Dog end Cat Owner Address: 1467 Adams St operator Inspection Program City/StaterZIP: Blair, NE 68008 Phone #: (402) 320-3137 Drivers License g: or Date of Birth: 3' - o h Subtotal licensed pets from below: — Replacement _ Replacement Tags from below: Total: ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ pet Name 1Ve Pet DOB-/ 3 Ig Sex, SF Color I rtti rI 0 Breed G o I CI Dn Rc d AA Declared Dangerous or Potentially Dangerous Dog? ❑ Y h N Microchip 11 Rables Vaccination Date `� 1 ` X3 yr ❑1 yr ,. 0 cat ❑ Spayed/Neutered License Fee $ 9ma Age Sex Breed pengefous or Potentially Dange0YRabies Vaccination Det' OSpayedlNeu\aced petpt' Gad �teeu • — 0at\�1 p; �-- Qe\dame e`ousotpotoa Gd\o\ O, 'N0 // pa°tat �YIQ % to R L019 PET LICENSE VERIFICATION If you li ufs) oad(or cat(.), compietelvedfy this form and return with cheds nrada payabla to: of Blair' 218 S 16th St. ` Blair, NE 68000 4three(3)pdultoate er adult ldeadal or dwelling momunit. on three(1)aduU daps LICENSEE F _.4EWALS ' ` E: March 15, 2019 LICENSE FFES: Dogor Cab $16.00 Owner Name: Anthony SM� Speyed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost7ag: $5.00 Owner Address: 1467 Adams Fee Includes $115 fee the Nebraska Dog and of City/SlalerZIP: Blair, NE 68008 Dperata inspection Program Phone #; (402) 32031$7 Drivers License M or Date of Blrth: 3 _ P Subtotal licensed pets from below: Replacement Tags from below: Name: OakleyDOe: Not on Flle Sex: Male License Fee $� Color: Red Breed: Golden Retriever Replacement: DY DN Spayed/Neutered: True City lag 8 2059 Mirochip 8 Vaccination Date 11019 ccine 3 yaarva201-6 - Vaccine Exp: ,�lk9IZ0'F6"-' Vaccine Total: 1 CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Arlene Smith Spayed/Neutered Dog or Cat: $11.00 t 203 Replacement Fee for Lost Tag: $5.00 Owner Address: 1048 S 13th St Apt Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (903) 235-1289 Drivers License #: or Date of Birth: Subtotal licensed pets from below: Name: Smokey Color: Blue Merle Spayed/Neutered: True Mirochip # Vaccination Date: 03/30/2018 Replacement Tags from below: DOB: 02/28/2009 Sex: Male Breed: Chihuahua Duration: 3 year vaccine Vaccine Exp: 03/30/2021 License Fee $ Replacement: ❑Y PN City Tag # 2379 Total: j F t CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Arlene Smith Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 1048 S 13th St Apt 203 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (903) 235-1289 Drivers License #: or Date of Birth: Subtotal licensed pets from below: Replacement Tags from below: Name: Shasta DOB: 02/28/2006 Sex: Female License Fee $ l c` Color: White/Tan Breed: Shih Tzu Replacement: Spayed/Neutered: True 11Y ON Mirochip # City Tag # 2378 Vaccination Date: 03/30/2018 Duration: 3 year vaccine Vaccine Exp: 03/30/2021 Total: CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 Owner Name: SMITH, BRIAN C & MAGGIE M Owner Address: 2287 FIELDCREST DR City/State/ZIP: BLAIR, NE, 68008--0000 Phone #: <NO PRIMARY PHONE> Drivers License #:H12778250 or Date of Birth: 9/12/1977 Name: Sophie Color: Black/Tan Spayed/Neutered: True Mirochip # Vaccination Date: 5/14/2016 LICENSE FEES: Dog or Cat: $16.00 Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat Operator Inspection Program Subtotal licensed pets from below: Replacement Tags from below: DOB: 12/31/2006 Sex: Female Breed: Miniature Pinscher Duration: 3 year vaccine Vaccine Exp: 5/14/2019 License Fee $ Replacement: ❑Y ON City Tag # 1084 Total: CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Brian C And Maggie M Smith Spayed/Neutered Dog or Cat: $11.00 Owner Address: 2287 Fieldcrest Dr Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: BLAIR, NE 68008-0000 Operator Inspection Program Phone #: (402) 332-9986 Drivers License #: or Date of Birth: Name: Bella Color: Black/Tan Spayed/Neutered: True Mirochip # 985112007970239 Vaccination Date: 4/25/2016 Subtotal licensed pets from below: Replacement Tags from below: DOB: Not on File Sex: Female Breed: Miniature Pinscher Duration: 3 year vaccine Vaccine Exp: 4/25/2019 ,� f �x { t � � r License Fee $ Replacement: ❑Y ❑N City Tag # 2295 Total: 2019 PET LICENSE VERIFICATION/APPLICATION- FOR CITY OF SLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(5) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR 218 S. 16TH ST — BLAIRe N9 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DUOS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW 'rO L10EN. E YOUR EIS. Failure to do so Is a violation of City Ordinances 6.:1Q3 and carries a penalty of a fire up to $750.0o per pet. PET LICENSE RENEWALS ARE DUE BY 3 15 2019• The city shall recognize a microchip ID number as the license number, it shall be unlawful for any dog or cat to wear any license or other city ID other hamonsued by ths of abethe f City Of Blair kitten such dog or cat. NEW PFT LICENSING Must be licensed within' 10 days of ownership (OR) t E NEW RESIDENTS TO BLAIR Must register pets Within 10 days of residency Owner Name Spouse� Owner Address City/State/Zip Phone # DL#or008 'PET * Brian Smith Maggie 2 7 Fieldcrest Blair, NE 68008 40-332-9986 Holstein Veterinary Clinic FAXED Dr. Lisa SchrUrn DVM & Dr. Krista Holstein DVM BY 71.8 South 19th Street Blair, NE 68008 402-426--7387 402-426-0101 Fax TOTAL pAG1=5 halsteinclinic@« gmail.com LICENSE .FEES /ntoct pog or Cat: $16.00 e a or cat: $'ilA }replacement Too $5.00 Total ,� 'L-0 01-09-19 4:550 ZO/Z0 30dd OINI-10 i3A NI31S-10H TOT093p3op 60:LT 6TOZ/60/T0 7-0I9 POET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLFTE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF FLAIR 218 S. 16T" ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** YOU ARE REQUIREBY LAW Td UCENSEYOUR PETS. Failure to do se Is a violatlon of City Ordinances 6.103 and carries a penalty of a fine up to $:m0.00 per pet, PET LICENSE RENEWALS ARE: DUE eY 3 1S 2019. The City shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city 11) other than that lssued by the City of Blair for such dog or cat. NEW PET LIC5NSING Must be licensed Within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEWNEW RESIDENTS TO BLAIR Must register pets within 10 doys of residency owner Name Spouse Owner Address City/State/Zip Phone # DL # or 1;)08 Holstein Veterinary Clinic Di^. Lisa Scjjrutjj DVM & Dr; Kfrfsta Holstein DIVM 718 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteindinicftmail-com Brian Smith Maggie 2287 Fieldcrest Blair, NE 68008 402-332- 98 LICENSE FEES Intact Dog Qr Cat: $16.00 Altered og or cat: $1 0 Replacement Tag $5.00 FAXED 01-09-19 4:56p BY TOTAL PAGES '3/To 39Vd DIHI-10 i3A N=S-lOH TUT093p3op 60:1T 6T03/60/T© 2019 PET LICENSE VERIFICATIONJAPPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT('S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16YM ST — BLAIR, NC 68008 YOU MAY LEGALLY OWN A COMBINATION OF roue, (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY'' YOU ARR REQUIRED BY LAW TO LICENSE YOUR PETS Failure to do so is a violstlon of City ordinances 6.103 and carries a penalty of a fine uR t4 $150.00 per pet. PET LICENSE RENEWALS ARE DUE BY 3/1512Q� 9.. The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of Blair for such dog or cat. NEW PET LICENSING.Must be licensed within 10 days of ownership (OR) at 6 months of age If puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency SET # Pet Name: Allis' Age., 20M $eSC: Spayed Female valor: 'TH Breed: Papillon Declared Dangerous/Potentially Dangerous Dog YES (111)— 1 — n Microchip # 98511201Q0305$3 City Tag #do Rables Vaccination Gate: t `' Rabies Tag # 16523 Rables Description: 1 YEAR � k YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM & Dr'. Krista Holstein DVM 718 South 19th Street Blair, NE 68008 402-426-7387 402-J426-0101 Fax hoisteinclinic@gmail.com li LICENSE FEES Intact Dog or Cat: $16.00 Altered og or cat: $11.00 Replacement 'Tag $5.00 Tota 1 $ t . FAXED 02-21-19 939a BY TOTAL PAGIrS TO/TO 39vd DINI-10 i3A NIE.LS-101-1 TOTO9ZbZOp 9b:60 6TOZ/TZ/ZO 09/12/2019 17:43 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 It shall Owner City/5 Phone DL * or P'ET * E Nanl� Age., Sex., Breed: ! Declared ►�iCr y 2019 PET LICENSE VERIFICATION/APPLICATION FOR CIT�v� tF YQU LIVE IN BLAIR CRY i.INITS AND OWN A DOG(S) ANC) /OR CAT(S) COAIP4ETE THjS FORM AND RETURN WITH A CHECK PAPA, I � gLAI1x CITY OF BLAIR — 218 S. 16TH ST _ $LE T�; BUT NQ MORE THAN TYO U MAY LEGALLY OWN A COMSINATjt j pF F00 T Ab IVl;LT P8B00$ ()ADULT DOGS OR THREe (3) ADULT CATS PER RESIDENTIAL OR DW,MING UN rr. ***PLEASE Ri=AD CAREFULLY*** Fallure to do so IS a violation RCp r 0UiE7> D BY LAW TO LICENSE YOUR PETS. y rdinances 6,103 and cerriee a Penalty of a fine up t� $� 5Q pQ Per Pet. PET YCENSE RENEWALS ARE DUE RY3 �5 2079, The city shall rocogryizo miCtohj lb n u►tlaWfUl for any dog or cat to wear any license or other p uMber as the license number. LICENSING 1ty ID other than that issued by the City of Blair for such do or ca -_Must bO IleenSed within 10 days of Ownership 0FN7 S T(9 BLAIR Must register pets within ID days Qf r� p(OR) at � rnorlths of 1ge 1p � t. --� PUPPV or kitten. Na m.e Janet m� dress /Zip 1411 PIr•Oi, Pe ct Or Blair, NE 68008 is 402-533-2773 Brody D08- 06-20--o9 Male color: Tri heltie ngerouslpetentiaily daingerous Dog YEAR 101stein Veto - Iin c Lisa 5chr z DVM & Dr: Krrista Ifalst ?7 DVM 18 South 19th .street Blair, NE 68008 e -426 7387 402-426-010l Fax hal tein�iinicla�gm,�il.cam City 5g�` Rabies Tap 14639 3 LICENSE FEES tntuct Dog or Cat:7� �}p Altered Dog or cat, $11.00 Repla,ternent Tag $5.00 Total $—L CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Megan Smith Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 765 N 16th St Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (402) 686-9109 Drivers License #: or Date of Birth: 6/21/1982 Name: Jake Color: Black/White Spayed/Neutered: True Mirochip # Vaccination Date: 4/7/2016 Subtotal licensed pets from below: Replacement Tags from below: DOB: 1/1/2012 Sex: Male Breed: Mix Breed Duration: 3 year vaccine Vaccine Exp: 4/7/2019 License Fee $-Uld Replacement: ❑Y ON City Tag # 1021 1 � Total j, I �► '' m CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Neil C And Lynn A Smith Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 1040 Stone Creek Dr Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: BLAIR, NE 68008-0000 Operator Inspection Program Phone #: <NO PRIMARY PHONE> Drivers License #: Name: Scout Color: Black/Tan Spayed/Neutered: True Mirochip # 956000003083553 Vaccination Date: 'l-J/015 t A-1c or Date of Birth: Subtotal licensed pets from below: Replacement Tags from below: 1/1/2014 Sex: Female Breed: Labrador Retriever Duration: year vaccine Vaccine Exp: 10119/2018 License Fee $ Replacement: ❑Y ❑N City Tag # 1792 Total: d CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Neil & Lynn Smith Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 1040 Stone Creek Dr Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (402) 426-2772 Drivers License #: or Date of Birth: t Name: Theo Color: Black/White Spayed/Neutered: True Mirochip # Vaccination Date -,1-0/1 /-2-615 Subtotal licensed pets from below: Replacement Tags from below: DOB:Not on File Sex: Male Breed: Cavalier King Charles Spaniel Duration: 3 year vaccine Vaccine Exp: 1011912018, License Fee $ Replacement: ❑Y ON City Tag # 2370 Total: CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Neil & Lynn Smith Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 1040 Stone Creek Dr Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (402) 426-2772 Drivers License #:G05001284 or Date of Birth: Name: Sandy Color: Black/Tan Spayed/Neutered: True Mirochip # Vaccination Date: 1 /1.9/ 015 Subtotal licensed pets from below: Replacement Tags from below: DOB: 1/1/2007 Sex: Female Breed: Mix Breed Duration: 1year vaccine Vaccine Exp: 101-9/2 18 License Fee $ Replacement: ❑Y ON City Tag # 1791 Total: `j CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 Owner Name: Paul Smith Owner Address: 652 S 16th St City/State/ZIP: Blair, NE 68008--0000 Phone #: (402) 426-5562 Drivers License #: Name: Lucky Color: Black/White Spayed/Neutered: True Mirochip # Vaccination Date: 01/141 16 /ZzJ t6i LICENSE FEES: Dog or Cat: $16.00 Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat Operator Inspection Program or Date of Birth: 04/27/1954 Subtotal licensed pets from below: Replacement Tags from below: DOB: 06/01/2008 Sex: Male License Fee $ Breed: English Springer Spaniel Replacement: ❑Y ON City Tag # 2201 Duration: 3 year vaccine Vaccine Exp: 01/14/2019 12111 - Total: CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Paul Smith Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 662 S 16th St Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (402) 426-5562 Drivers License #: or Date of Birth: 04/27/1954 Name: Daisy Color: Tri-Color Spayed/Neutered: True Mirochip # Vaccination Date: 01/14/2b16 l to l �,9 r\ Subtotal licensed pets from below: %l. O( Replacement Tags from below: DOB: 08/10/2010 Sex: Female License Fee $ Breed: Cavalier King Charles Replac ment: Spaniel ❑Y City Tag # 335 Duration: 3 year vaccine Vaccine Exp: 01/1419019 Total: 2019 ICE VERIFICATION/APPLIC, IF YOU LIVE IN GLAIR CITY UVIM COMF`LtTB THIS FORM AND RI CITY OF BLAIR — 218 S. YOU MAY LEGALLY OWN A COM EUT NO MORE THAN THREE (3) APUI-T DOGS OR THB ***PLEASE 'LICENSE TION FOR CITY OF BLAIR ,ND OWN A DOG(S) AND /OR CAT(S), JRN WITH A CHECK PAYABLE T0'. ,6TH ST — BLAIRe NE 68008 NATION OF MUR (14) ADULT PETS, (3) ADULT CATS PER RESIDEN ]:AL OR DWELLING UNIT. CAREFULLY*** Failure to do so is a violation of City Ordinances 5. 3 and carries a penalty of a fine up to $150,00 per pet. The city stall recognize a microc I p ID number as the license number. It shall be unlawful for any dog or cat to wear any license or oth city 1D other than that issued by the City of Blair for such dog or cat. NEW PET LICENSING Mast be licensed Within 10 days of owi ership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 day �f residency owner Name Spouse Owner Address City/State/Zip Rhone # DL. # or DOS Pet Name: Boss Age: 7Y D013: Sex., Male Color: Breed: Domestic 8horthair 6eclared Oangerous/P'otintially Dangerous Microchip # Rabies Description: Holstein Veterinary Clinic Dr, Lisa .Schrum DVM & Dr. ltrist(1 Holstein DV"M 718 South 19th Street Blair,,NE 68008 402-426-7387 402-420-01.01 FaX hoisteinclinic@a gmail.corn Mari' Soppe Timothy 2119 Lincoln 8t. Blair, NE 68008 970-520-9967 5-28-12 NO I Yes City Tag # 1 {7albies Tag # 15968 3 YEAR LICENSE FEES Intact Dog or Oat: $16.00 Altered ag or cat: Replacement Tag $5,00 -total Il —A- FAXE) 08-I4-19 BY �. TOTAL RAGES zo/�F4 39vd OINI-lO 13A HI TNT096p6ov 9T:ST 6T06/bT/$e 2019 PE VERIFICATION/APPLIC, IF YOU LIVE IN BLAIR CITY LIMITS COMPLETE THIS FORM AND Ri CXTY OF BLAIR — 218 S. YOU MAY LEGALLY OWN A COM 6UT NO MORE THAN THREE (3) ADULT DOGS OR THR ' LICENSE TION FOP. CITY OF 13LAIR ,ND OWN A DOG(S) AND fOR CAT(S), URN WITH A CHECK PAYABLE TO: ,67" ST - EILAIRr N5 68008 NATION OF FOUR (4) ADULT PETS, (3) ADULT CATS PER RESIDENTIAL OR DWEI-LING UNIT. ***PLEASE REIND CAREFULLY' Failure to do so is a violation of city Ordinances 6*3 and carries a penalty of a fine up to $150,00 Per pet, The city shall recognize a microc p ID number as the license number. It shall be unlawful for any drag or tat to wear any license or oth city m other than that issued by the City of Blair for such dog or Cat. NEW PET LICENSING Must be licensed within 10 days of ow rship (CDR) at 6 months of age if puppy or kitten NFW RESIDENTS TO BLAIR Must register pets within 10 day f residency Owner Name Spouse owner Address city/state/Zip Phone # DL # or DOB PET # Pet Name: Mika Age: 7Y I Doe: Mary Soppe Timothy 2119 Lincoln St. Blair, NE 68008 970-520-9967 Sex: Spayed Female Color: Ik/Sn/Wh Breed. Siberian Husky Declared Dangerous/Potent➢ally Dangerous U NYES M➢crorchip ;0 City Carg # �, ,.,,. ,, - ; .zee �a•.: ��,;••a�.,,, ; x Rabies -rag #k 1517 Rabies Description-, 1 YEAR Holstein Veterinary Clinic Dr,1,isa Schrum DVM & Dr. Krista .Holstein DVM 718 South 19th Street Stair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com 3 FAXED 08-14-19 BY TOTAL PAGES LICENSE FEES Intact Dog or Cat: $16.00 Dog or cat: $ t?epiaGement Tag $5,00 Total s. L I - Z©/To 39ad DINI-10 i3A NI T©T09Zvzov 5T 5Z 6Z0Z/bI/80 CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Donald And Julie M Sorensen Spayed/Neutered Dog or Cat: $11.00 Owner Address: 2220 Crestrid a Dr Replacement Fee for Lost Tag: $5.00 g Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008-0000 Operator Inspection Program Phone #: (402) 426-3982 Drivers License #: Name: Mowgli Color: Golden Spayed/Neutered: True Mirochip # Vaccination Date:,5/9/205 or Date of Birth: 10/14/1964 i 0 Subtotal licensed pets from below: ( Iy Replacement Tags from below: DOB: 12/16/2010 Sex: Female Breed: Golden Retriever Duration: 3 year vaccine Vaccine Exp: 5/9J204-8—" License Fee $_ Replacement: ❑Y ON City Tag # 1967 p Total: 1 l f' 3 CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or cat: $16.00 Owner Name: Ronald Sorensen Spayed/Neutered Dog or Cat: $11.00 Owner Address: 2106 Front St Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (402) 426-3787 Drivers License #: Name: Barkley Color: Apricot Spayed/Neutered: True Mirochip # 9861120049288224 Vaccination Date: 6/10/2017 r or Date of Birth: J I to Subtotal licensed pets from below: Replacement Tags from below: DOB: 2/28/2010 Sex: Male Breed: Mix Breed Duration: 3 year vaccine Vaccine Exp: 6/10/2020 License Fee $ Replacement: ❑Y ON City Tag # 1787 Total:_ 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT($), COMPLETE THIS FORM ANO RETURN WITH A CHECK PAYABLE TO, CITY OF BLAIR — 218 S. 16TH ST — OLAIRy NE 68006 YOU MAY'LEGALLY OWN A COMOINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OIL THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT, *'PLEASE READ CAREFULLY*** YOU ARE ftEC2UIRE0 4Y !AW TO LICt=N$� YoUfi PETS. 'Failure to do so is a violation of'Clty Ordinances 6.10 and carries a penalty of a fine up to $150,00 per pet, PET LICENSE RENEWALS ARE DIlE BY 3 IS 2019. The city shall recognize a microchip ID number �s the license dumber. It shall he unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of glair for such dog car cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO GLAIR Must register pets within 10 days of residency Owner Name Spouse Owner Address city/Mate/zip Phone # DL # or DOB PET # Pet Name: Siasha Age: S'Y' Sex: Ferrule Bread: German Shepherd, Jesus Soto Aurora 666 S 10th St Blair, NE 680108 402-426-5040 DOB: 03-03.1I, Color., Black and Tan Declared Dangerous'/Potentially Dangerous Dog Microchip # 985121LO11905107 Rabies Description: r" i 'YEA, Holstein. Veterinary Clinic Dr. ,Lisa Schrum DVM % Dr: Ki•ista j0jstein DVM 718 South 191h Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com YES -C!'// I City Tag # ifa ies Tag # 17142 3 YEAR FFAXEp 07-30-19 t� 'TOTAL PAGES K& LICENSE FEES ntact d 4 or Cat: $16, Altered Dog or cat: $i1.00 1?'eplaceMent Tag $5.00 Total T©/TB 39vd DINTl 0 i3A NI�31S-101-1 TUT09Zv3o3 cc:PT GT03/0E/La 03/19/2019 17:05 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16'" ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. **-*PLEASE READ CAREFULLY' Y—QUARE REQUIRED BYLAW TOLICENSE YOURPETS, Failure to do 5o is a violation of City Ordlhon(;es 6,103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSE RENEWALS A The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID other than that Issued by the City of Blair for such dog or 6t. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 Gays of residency Owner Game Cindy Sparks Spouse Owner Address 1829 South Street #49 City/State/Zip Blair,, NE 680013 Phone # 402-699-3834 DL # or DOB Pet Name; Shaggy Age: 3V----Tsex: Neutered Male Color, Red Breed-. POM X Declared Dangerous/ Potentially Dangerous Dog ��NO Yes Microchip # q5 2'0 155 6 Vq_31 City Tag # � -- r7� Rafflg M! Ui �b IgotiiP;eI--, � Rabies Tag 16820 =!z� Rabies Description., I YEAR C3 YEAS� Holstein Veterinary Clinic Dr. Lisa Schrum DVM & Dr'.,Ki-istaHolstein DVM "1 8 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmaii.com LICENSE FEES Intact Dog or Cat: $16.00 Altered D g or cat; $11,00 Replacement Tag $5.00 Total $ —FAXED 03-19-19 4.26p BY TOTAL RAC ES CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Lori Spears Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 1665 Park St Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (402) 426-4865 Drivers License #: or Date of Birth: 12/10/1960 Name: MJ Color: Black/White Spayed/Neutered: True Mirochip # Vaccination Date: 3/26/2017 Subtotal licensed pets from below: Replacement Tags from below: DOB: 10/1/2009 Sex: Male Breed: Domestic Shorthair Duration: 3 year vaccine Vaccine Exp: 3/25/2020 License Fee $_ Repla ement: ❑Y qN City Tag # 605 Total: I C i bb CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair* 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Lori Spears Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 1665 Park St Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (402) 426-4865 Drivers License #: or Date of Birth: 12/10/1960 Subtotal licensed pets from below: Replacement Tags from below: 4- Name: Pepper DOB: Not on Fil Sex: Female License Fee $ Color: Not Listed/Uknown Breed: Domestic Shorthair Replacement: ❑Y ON Spayed/Neutered: True City Tag # 2316 Mirochip # Vaccination Date: Duration: J Vaccine Exp: I /� Total : a d WILLOW PARK VETERINARY CLINIC 415 EAST ERIE ST. MISSOURI VALLEY, IA 51555 (712)642-3815 Rabies Certificate Client ID: 308 Patient ID: 15551 Client Name: Lori Spears Patient Name: Pepper Address: 1665 Park Street Species: FELINE Breed: DOMESTIC SHORT HAIR Blair, NE 68008 Sex: Spayed Color: Tortoise Phone: (402)426-4865 Markings: 4 - footed declaw Birthday: 05/21/2016 Weight: 10.56 pounds on 11/21/2018 Microchip ID: Tag Number: 22812 Vaccination Date: 11/21/2018 Lot Number: S309035C Expiration Date: 11/21/2019 Nobivac Producer: Intervet K / MLV / R: Killed Virus 01 Staff Name: Jack D. Gochenour, D.V.M. License Numbe : 5146 CITY OF BLAIR - 2019 PET LICENSE ADDITIONS i t If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 Owner Name: Lori Spears Owner Address: 1665 Park St City/State/ZIP: Blair, NE 68008--0000 Phone #: (402) 426-4865 LICENSE FEES: Dog or Cat: $16.00 Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat Operator Inspection Program Drivers License #: or Date of Birth: 12/10/1960 Subtotal licensed pets from below: ❑ Dog ❑ Cat Pet Name Color Replacement Tags from below: Total: ❑ Spayed/Neutered License Fee $ Breed Pet DOB Sex Declared Dangerous or Potentially Dangerous Dog? ❑ Y ❑ N Microchip # Rabies Vaccination Date 03 yr ❑1 yr x (D m M r+ C% =r m CL r o r+ OIQ m 0 m r all MON QrQ CL 40 M r+ r+ m 0 0 h m ma 0 z n 2) (D CL c m 0 a ON m .9 0 0 sh mit z m on me z m m Mi (A n r to r Vol CERTIFICATE OF VACCINATION THIS CERTIFIES THAT Name of Pet Animal Spay Neuter Clinic Date of Birth El Intact 4970 N W Radial Hwy. Breed Sex Altered Omaha, NE 68104 402-553-3900 Color of Markings Date WAS VACCINATED AGAINST- E] Rabies: Serial # Tag No_.L . . ..... ... , � 1 year Rabies Vaccination Expiration Date Owner's Name El 3 year Rabies Vaccination Expiration Date El Canine Distemper Q Feline Distemper Street E] Canine Hepatitis rjFeline Rhinotracheitis Canine Leptospirosis Feline Callicivirus city State Zip E] Canine Parainfluenza Feline , Leukemia F] Canine Parvovirus o F] Stool Exam Phone E] Canine Bordetella Heartworm Test By Veterinarian 2019 PET LICENSE VERIFICATIONJAPPLICATION. FOR CITY OF GLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /QR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF FLAIR — 218 S. ;LOTH ST — BLA,IR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY' Op ARE REQUIRED 8Y �LICEN5E YOUR P 7S. FallUre to do so is a Violation of city Ordinances 6.103 and carries a penalty of a fine Up to $150.00 per pet. PET LICENSERENEWALS ARE DUE BY 3/15/2011 The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Id other than that issued by the City of flair for such dog or cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy, or kitten N1 W RESIDENTS TO "IR Must register puts within 10 days of residency Owner Name Spouse owner Address City/State/Zip Phone # DL # or DOB. Shirley Stadler 750 Garfield Blair, NE 68008 402-426-4741L PET # Pet Narne: Addle Age: 23M Sex: Spayed Fe ale color: Yellow Breed: Lab Declared Dangerous/ Potentially Dangerous Dog (NO � ` YES Milrrochip # 985112007964135 Rabies Description: I YEAR Holstein Veterinary Clinic Dr, .Lisa Schrum DVM & Dr. Krista Holstein DVM 718 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteincl inicggTaiLcom City Tag # "-, Rahies Tap -# 16088 LICENSE FEES Intact Dog or Cat: $16.00 Clog k Gat: $ ,replacement Tag $5,00 Total FAXED 02-18-19 12:07p BY TOTAL PAG.ES ' ' b0/T© 39vi 0INI-10 13A NI3IS70H TUT097,tiZ©b bb:ZT 6TOZf8TIZQ 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMBS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16TH ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NQ'MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** YOU ARE ,B.EQUIRED BY LAW TO LIGFN > YOUR PETS. Failure to do so is a violation of City Ordinances 6.103 and tarring a penalty of a fine up to $150.00 per put. PET LICENSE RENEWALS ARE DUE BY 3115L2-0-19- The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of Blair for such dog or cat. NEW PET LICENSING ' Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name Shirley Stadler Spouse owner Address 750 Garfield City/state/zip Blair, NE 68008 Phone # 402-426-4741 OL;* or DOB 13ET 20-f 2 Pet Narne- Garf Age: 6 r Color: Gold I sex: Neutered Male Breed:' Vis/MiX Declared Dangerous/Potentially Dangerous Dog NO YES Microchip # 985112003702723 City Tog # 00,11-11�lftlhi �MW ONE M,1110.1 Rabies Tag # 15035 Rabies Description: 1 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM & Dr. Krista Holstein DVM ,718 South 19th Street Blalr, NE 68008 402-426-7387 402-426-0101 Fax holsteindinic@gmail-com kw -At LICENSE FEES Intact Dog or Cat: $16.00 4Wftqr---1% L)Qgi6r cat, $11.0 REplacement Tog $5100 Total s 1\.60 FAXED 02-18-19 12;07p BY TQYAL VO/ZO 39Vd DINI-10 13A N131S-10H T0T09ZPZ01? vv:ZT 6T0Z/81/z0 FROM :BSAC FAX HO. :402-533-2722 Mar. 22 2019 10!33AM P1 .CITY OF BLAIR - 2019 PET LICENSE APPLICATION It you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to; City of Blair * 218 S. i6th St, a Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE_DUE: r y1y5 2019 Owner Name: _pltx Owner Address: �m i Ell)) )) d i h cr city/state zip: Blair N� E 680Q$ Phone # ,�►+ 4�"'r1�- �) drivers Llcense # or Date of Birth LICENSE PEES: flog or Gat: $16.00 Alterwi dog or Cat: $11.00 Replacement Fee for LoSt tag: $5.00 a State Fee of ***PLEASE READ C'ARERJLLY*** YOU ARE REQUIRED BYLAW TO LICENSE YOUR PETS. rallure to do so Is a vlolat{brl of City ardlnancek 6,103 and carries P penalty of a fine up to *150.00 per pet. PET LICENSE$ RENEWALS ARE DUE BY;3l15/281tl. the S:Ity shall rrrragnlxo p rnir,.nlr:lill7 Irlenl:IPlr.Qfltan nlnrd7ar a� the ((Ce?nRP. nUlnher, ii shall be unlawful for any dolt or cat to wear any license or other city lOntifleaiion other i'han ffiAt Issued by the (:Ity of Blair for such clog or cat, The Clty of Blnlr Mulres proof of rabies vaccinnUon, SET #1 A lea La Cat Spa!pd/Neutered�� License P+oe Pet N men Age r� mn5 Sex Color t' ►�LJA � Breed '* Replacement $ Declared dangerous or Potentially Dangerous Dog: ❑ Y A N MICROCHIP # If applicable SUBTOTAL: $ RABIES VACCINA11ON DATE: x T. (3 yr)L (I yr) City Tay # PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Aqe Sex Color Breed Declared Dangerous or Potentially Dangerous dog: ❑ Y MICROCHIP # __ ___(If applicable) RABIES VACCINATION CRATE: (3 yr) _ License Fee $ Replacefnent $ ❑N SUBTOTAL: $ T- (1 yr) — City Tag #* PEA' #3 ❑ Crag ❑ Cat ❑ Spayed/Neutered License Pee $ Pet Name A! a Sex Color Breed * Replacement ** Declared Dangerous or Potentially Dangerous dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINA11ON DATE:. (3 yr) — _ -.. (I yr) ....... City Tag # ---- -... *PLEASE INCLUDE THE CITY TAG NUMBER I r 1THIS IS A RENEWAL ** (This fee Is dins along with License Fee if requesting at the time of license renewal.) Donation to cage for anirnails: — $1 _,._ $3 —$5 — $10 Other ***SEE BACK OF FORM FOR BREED SPECIFIC LICENSE REQUIREMENTS VISA / MO # :,Signa'ture _ OoNot Send Casiv by Mail TOTAL ENCLOSED $ Expires: Security CQde: If you have questions, please contact City Ball at (402) 426-4191 or by Fax., (402) 426-4195 ..........*t+t+++t++++...ttt++*t+.+t+.....4**.....*k+++++++++++.............. NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (Nk��lf i5/ate fie date nptapp!/CAGJF 1�l ��WA�G�l1ieW 11�ti0i37i�� NewlyAca Ired Pf1 ; New Residents to Blair, ■ MiA be licensed Wthln 10 days of 6mbl hip M Must registor pets within 1.0 days of ■ <OR> at 6 months of age if puppy/kitten redde:ncy, Thone Animal Hospital (402) 426-3630 902 S Hwy 30 Blair, NE 68008 CITY DE BLAIR - 2019 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair * 218 S. 16th St. a Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit, LXCEINSE RENEWALS ARE DUE: March 15, 2019 Owner Name; ` -� Owner Address: City/state/zlw Blair, NE 68008 �y Phone Drivers License # or Date of Birth U O — LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $3.00 Lnctuoea is a brace Fee of to fund ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR. PETS. Failure to do so is a violation of City ordinances 6,103 and carries a penalky of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2018. The City shall recognize a microchip Identification number as the license number. it shall be unlawful for any dog or cat to wear any Ilcense or other city Identification other than that issued by the City of Blair for such dog or cat, The City of Blair requires proof of rabies vacclnation, PET #1 51 Dog Cl Cat '1 l'Spayed(Neutered License Fee $ 0 Pet Name MA Acle Lam_ Sex Color _ 115,10 � Breed** D�"�r,; r��, �� \A ,, < Replacement $ ** Declared Dangerous or potentially Dangerous Dog: ❑ Y 3-N MICROCHIP # (If applicable) SUBTOTAL: $ ,� RABIES VACCINATION DATE: (3 yr) (I yr) _ Y City Tag # �-ii m^n PET #f'2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Aye Sex Color ' Breed * �" Declared Dangerous or Potentially Dangerous Dog: O Y MICROCHIP ## (If applicable) RABIES VACCINATION DATE: (3 yr) _ License Fee $ Replacement $, ❑N SUBTOTAL: $ (I yr) City Tag #. PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Aye Sex Color Breed * Replacement$ ** Declared Dangerous or Potentially Dangerous Dog; ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (I yr) City Tag # *PLEASE INCLUDE THE CITY TACK NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Donation to care for animals: $I $3 $5 $10 Other ***SEE BACK OF FORM FOR BREED SPECIFIC LICENSE REQUIREMENTS VISA /MC# Signature Do Not send cash by Mail TOTAL ENCLOSED $ Expires: Security Code: If you have questions, please contact City Hall at (402) 426-4191 or by Fax: (402) 426-4195 +++f+++ t.++++++++++++++++++++++++.F+++4.+++++++++-F+++++++++++++++++4•+++++++++ l•+++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (Mand) 151afefee date not applicab(efbrnew pets/newreseents) NewlyAcguired Pets: New Residents to Blair: N Mast be licensed within 10 days of ownership rl Must register pets within 10 days of a <OR> at 6 months of age if puppy/!atten residency, I.'d 90999ZbZob e.1e0113wluv8U0gj d80:0061,9ZI00 FRDIII :9SAC FAX 1,10. :402-533-2722 Mai-. 06 2019 05:36PM P2 CITY OF BLAIR � 2019 PET LICENSE ADDITIONS If you live in Flair City limits and own a dog(s) andlor cat(s), completelverify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 Owner Name: Jamie & Yvette Steffen Owner Address:,821 N 16th St City/State/ZIP: Blair, NU 68000-0000 Phone #: (402) 630-8574 Drivers License # LICENSE FEES. Dog or Cat: $16.00 Spayed/Neutered Dog or Cat., $11.00 Replacement Fee for Lost Tag: $5.00 Kee Includes $1.25 for the Nebraska Dog and Cat Operator inspection Program or Date of Birth: (3/6/1971 Subtotal licensed pets from below: Replacement Tags from below: Total; Vlog M Cat Df ,pjpe ,/Neutered License Fee $ IL Pet Name �Wyl AN \i A- Pet DOB 13 /AM Sex —E— Color � Breed Declared Dangerous or Potentially Dangerous Dog? 0 Yp6l Microchip # Rabies Vaccination Date 21-L 11w#'3yr 0 1 yr & I Dog M Cat NY5"SpayedIN8LItered License Fee$ Z/, Pet Name Age 1W Sex Color A& cx Breed Doolare,d Dangerous or potentially Dangerous Dog? Q YP/N Microchip # Rabies Vaccination Dite L IR) I L, yr 01 yr 0 Dog d'Cat n Spayed/Neutered License Fee $ D Pet Name Pet DOB Le 10,00"Isex Color. 0aj greed Declared Dangerous or Potentially' Dangerous Dog? n Y/N Microchip A Rabies Vaccination Date 13) 1rw15k1/ Qp:y:r�Ej/lyr FROM :BSAC FAX NO. :402-533-2722 Mar. 06 2019 05:36PIll P1 CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this Form and return with check made payable to: City of Blair'" 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dog$ or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 16, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: ,Jamie & Yvette Steffen Spayed/Neutered bog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 821 N 'I Sth $t Fee Includes $1,75 for the Nebraska Dog and Cat City/State/ZIP: Blair, NR 68008-0000 Operator Inspection program Phone #: (402) 630-8874 Drivers License #: or Date of Birth: 1316/1971 Subtotal licensed pets from below; Replacement Tags from below: Name: Punky Bacon Color, White/Brown Spayed/Neutered: True Mirochip # Vaccination Date: 2/24/2017 DOS., 9/1/2016 Sex: Female Breed: Rat Terrier Duration: 3 year vaccine Vaccine Exp: 2124/2021) License Fee $ Replacement: AY 13N City Tag # 2071 Total: >/j , 00 I CERTIFICATE OF VACCINATION I Date of Rabies Vaccination: 03-22-19 Next Rabies Vaccination On: 03-21-20 VETERINARY CLINIC Gilmer Animal Clinic 2108 SH 155 N. Gilmer, TX 75644 903-797-2744 This is to certify:.. Certificate No: 0 Previous Rabies Vaccination: <oldtag> OWNER OF ANIMAL -Step-hani,e--Sternb-erg--, -11-8-B-Pi-neTray t—, -)) (: r, 1, ,--H.otly-Lam-Ra-nch,TX--7-5765--- County:-W-ood---_ Phone: 980-5352 THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Finn Microchip: 985111000125961 SPECIES: Canine r. SEX: Neutered Male Color and markings: White ME Signed Craig Ball, DVM Vaccinations done... TAG NO: 20190238 AyArvTftfl: • @ AGE: 5Y BREED: Golden Retriever License: TX 8101 03-22-19 CB Canine Bordetella 03-21-20 03-22-19 CB Canine Rabies, #20190238 03-21-20 03-22-19 CB Canine DA2PP Vp 03-21-20 Rabies Vaccine Information... MFG BY: ZOETI SERNO: 311624A LOT EXP: 2/25/20 ADM: SQ 03/14/2019 10:10 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLLTE THIS FORM AND RETURN WITH A CHECK PAYABLE TO' CITY OF BLAIR - 218 S. i6TH ST - BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT, ***PLEASE READ CAREFULLY' YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Fail{are to do so is a violatlor) of City ordinances 6,103 and carries a penalty of a fine up to $150.00 per pet, PET LICENSE RENEWALS ARE DUE BY 3/W7019. The city shall recognize a microchip ID number as the license number, it shall be unlewful for any dog or cat to wear any license or other city ID other than that issued by the City of Blair for such dog or cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency ................. Owner Name Marsha Stier Spouse Owner Address 1141 Grant St city/State/zip Blair, NE 68008 Phone # 402-889-6171 DL # or DOB Pet Name: sari Age: 10'1C sex: Neptered Male color: Tan and White Breed: Jack Russ X Declared Dangerous/Plotentially Dangerous Dog ND YES Microchip # City Tag # t..,�d' .Li •d�5'; �, •.Iir, Y:i .'W..1... � I. '<Il' :'.I•�fi:.lrlf�� till ".4! Ali: 11•..�1 It'.f!' .�•Ra% • 1 I � I1!� I�,,.; li' � r _nll-� � �;:,lll+,1 r,l,�.� r-rrtl ,'1 r?r'>.• 1; r; Ir ,tl ai, !•gill Ib. .. �.r +1`II a••• 1 ifs G°n,' Il��, 1;1A Il!. qI I)Ilir:' 1'lll•11 V' �.,,, ,, ol:{r 'ao;r y�pi�'°jy'� �y{ fy^rri��'li!�i�,ifir., . It!.alc1l Sll:.• . l7able� 'Te # `/n1/,r--^�J'� ,;Ip,., I,nl„•! lr.�l!I :v, ..I•�7 •, rid• r`+S J.k{:i ir4,AiJ1, �I;1lJ�I �1 :�1�I{i;;;;l'.!!"�;1,'.1�,�'._; LI�•1 il!,.., •.+„�. ,i � ,y�;`:^,,'{. , , L Ipar � illliill: L.i1111,. e.{ i`I? .Ilcd..l ��`•irvh: d�.p�'i, vdMljl,ynry I'14'r',i,._a..�. �1 Olr, a . rR)fGIII"L„Qi'Ir,rUln�Ipr'"�:�ISf" �� `� ' ' '�'" Rabies Descriptl�►n: 1 YEAR YEA► Holstein Veterinary clinic Dr. UsQ Schrum DVM & Dr, Krista Holstein DVM S South 191h Strut Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteindinic@gmail,com LICENSE FEES Intact Dog or Cat. $16.00 Al Dog of cat: $11.00 ,�{y ent Tag $.5.00 Total FAXED 03-14-19 9:16a BY TOTAL PAGES CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 Owner Name: William & Jane Straube Owner Address: 1946 Front St City/State/ZIP: Blair, NE 68008--0000 Phone #: (402) 426-4795 Drivers License #:G29009461 or Date of Birth: 5/26/1966 Name: Belle Color: Black Spayed/Neutered: True Mirochip # 4C147E1B12 Vaccination Date: 4QRe+6- V LICENSE FEES: Dog or Cat: $16.00 Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat Operator Inspection Program Subtotal licensed pets from below: «� Replacement Tags from below: ID DOB: Not on File Sex: Female Breed: Labrador Retriever Duration: 3 year vaccine Vaccine Exp: X212M �-1 [' - jt License Fee $ eplacement: ❑ N , City Tag # 15� dg-7� Total: 9 V w) CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 11-03-18 Certificate No: 0 Next Rabies Vaccination On: 11-02-21 Previous Rabies Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Countryside Small Animal Rhonda Street 1306 Stevenson 371 S. 25th _ Fort Calhoun, NE 68023 Blair, NE 68008 402-468-4060 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Wednezday, ` � f, TAG NO: 18-1219 SPECIES: Canine WEIGHT: 14.75 SEX: S AGE: 2 years BREED: Pug Color and markings... Fawn Signed Kaycee Points License: Vaccinations done... 11-03-18 KNP Canine Rabies Vaccn, 3 yr, #18-1219 11-02-21 11-03-18 KNP Canine DA2PPL 11-03-19 08-11-17 JJS Canine Rabies Vaccn, 1 yr, #17-0855 03-30-17 JJS Canine Parvovirus Vaccination (CPV) Rabies Vaccine Information... MFG BY: ZOET SER.NO: 236501C LOT EXP: 11 Dec18 ADM: Sq 09/25/2019 15:38 4024260101 HOLSTEIN VET CLINIC PAGE 02/02 2019 PET LICENSE •VERIFICATI N/AP'PLICATION FOR CITY OlP BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: ' CITY (ylF LAIR — 218 S. 16TH ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLINQ UNIT, Failure to do so Is a The city sha It shall be unlawful for any dog or cat to v NEW PET LIQNSING Must be licensed i NEW RESIDENTS TO BLAIR Must registe Owner Name Spouse Owner Address City/State/Zip Phone # DL # or DOB 1T # I *"*PLEASE READ CAREFULLY' YOL)„pRE RECIUIRED 8Y L,AW TO LICENSE YOUR PETS n of City Ordlnances 6.103 and carries a penalty of a fine up to $150,00 per pet. PET LICENSE RENEWALS ARE DUE BY 3/15/2019. recognize a microchip ID number as the license number. ar any license or other city ID other than that issued by the City of Blair for such dog or cat. thin 1.0 days of ownership (Olt) at 6 months of age if puppy or kitten pets Within 10 dayS of residency Colette Stricklett Colette 402-885-0104 1049 N 18thl Ave Blair, NE 68008 402-426-1761 Pet Name: Melalnie Age,- 3Y DOW 04-27-16 sex: Spayed Female color: Tan Breed: Heeler X Declared Dangerous/ Prtelntiall Dangerous Dag NO yIES Microchip # 98511200816 639 City Tag # : Rabies Tag # 17255 l,do{:::rrqu; i,C.e1�•�•,,.' .+'IV ozat�n'c�i+� a, ,� a Rabies Description: ,A 3 YEAR, Holstein. Veterinary Clinic Dr, Lisa Schrum DVM & Dr. ,Kilo olstein DVM --, 8 South 19th Street Blair, W 68008 402-426-7387 402-426-0 01 Fax holsteindinicf gmail.G m p'AXED i 09-25-19 IM LICENSE FEES Intact Dog or Cat: $16.00 cat: Replacement Tag $5.00 Total S il ' 06 TOTALPAC5ES I f IV -2, d 09/25/2019 15:38 4024260101 HOLSTEIN VET CLINIC PAGE 01/02 2019 PET LICENSE VERIFICATION/APP'LICA,T'ION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK, PAYABLE TO: CITY OF BLAIR — 218 S. 16TU ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COM13INATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL, OR DWELLING UNIT. **'PLEASE READ CAREFULLY*** YOU ARE RPOUIkED BY.I,,AW TO LICENSE YOUR PETS. Failure to do so Is a violation of City Ordinances 6.109 and carries a penalty of a fine up to $150.00 per pet. PET LICENSE RENEWALS ARE DUE BY 3/15/2019. The city shall recognize a microchip 1D number as the license number. It shall be Unlawful for any dog or cat to wear any license or other city la other than that issued by the City of Blair for .such dog or cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name Colette StriCklett Spouse Colette 402-885-0104 Owner Address 1049 N 18th Ave City/State/Zip Blair, NE 68008 Phone # 402-426-17161 T # Pet Name; Mauselr Age: 4Y DOB: 06-25-15 Sex; Neutered Male Color; Red/Black Breed: Heeler X Declared ;dangerous/Potentially Dangerous bog NO YES Microchip # 98511 2005153721 City Tago # � o<� Tag # 11284 ill2 iit;� r'I, ii:!<lt.i.sn,ItiEde_^�.,,, o,��i f Rabies description; lel A 3 YEAR, I Holstein. Veter°inaO Clinic Dr. Lisa Schrum DVN1 & Dr. Krista Holstein DVM 8 South 19th Street Blair, Ali= 68008 ! 402-426-7887 402-426-0101 Fax holstei ndi n i c@grrl a i l.ccm f f I LICENSE FEES Intact Dog or twat: $16.00 fir: •, •. it Rep/acement 'raq $5.00 Total $ CJ FAXED 09-25-19 BY TOTAL PAGES 1 of Dec 27 18 11:29a Thone Animal Care 4024265808 p.1 CITY OF BLAIR - 2019 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair • 218 S. 16th St, • Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15. 2019 Owner Name: t._(A Owner Address: ` ( �- city/statelzip: Blair, NE 68008 Phone # '-\d)-tlsS -QaT Drivers License # or Date of Birth li 1 a�g LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $S.Ob ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BYLAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6,10$ and carries a penalty of a fine up to *150-00 per pet, PET LICENSES RENEWALS ARE DUE BY 3115/2018, The City shaft recognize a microchip identlficatlOn number as the license number, It shall be unlawfu, for any dog or cat to wear any license or other city identification other than that issued by the City of Blair For such dog or cat. The City of Blair requires proof of rabies vaccination. Included is a State Eee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 -a Dog ❑ Cat ❑ASpayed/Neutered License Fee $�0 Pet Name ColorBreed** " v Raplacement $* Declared Dangerous or Potentially Dangerous Dog: ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ 0 RABIES VACCINATION DATE; 19,D 7-14� _ (3 yr) (� yr) `city Tag # a PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Color Breed* Sex Replacement $ ** Declared Dangerous or Potentiailly Dangerous Dog; ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE; (3 yr) (1 yr) City Tag # `* PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Color Breed* Sex Declared Dangerous or Potentially Dangerous Dog; ❑ Y Q N MICROCHIP # (If applicable) RABIES VACCINATION DATE:..._ (3 yr) License Fee $ Replacement $ SUBTOTAL: $ (I yr) City Tag # *PLEASE INCLUDE THE CITYTAG NUMBER IFTHISIS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Donation to care for animals: $1 $3 $S $10 Other ***SEE BACK OF FORM FOR BREED SPECIFIC LICENSE REQUIREMENTS VISA / MC # Signature .00Not Send Cash by Mail TOTAL ENCLOSED $ Expires; Security Code; If you have questions, please cclntact City Hall at (402) 426.4191 or by Fax: (402) 426-4195 ++ .+++++++++++4•+++++++.+++ ++++tF++++++ .++++++++....+++++ •h++.} +++++4+++ i•++. ++-}.+++ NEW PETJNEW RESIDENT LICENSING REQUIREMENTS (Afarch 15btefee date notapplicablefornewpe(s/neivresidenty) NeWluAccruired Pets: New Residents to Blair; N Must be Vcffised Wthtri 10daysofownefship — M Must register pets within 10 days of m <OR> at 6 months of age if puppy/kitten Thane An Imelf Care of'Na r', (402) 426-3630 902 S. Hwy 30 Blair, NE 68008 ' .. M), 1 .m CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Steven & Joan Suverkrubbe Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 1468 Oak Dr Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: <NO PRIMARY PHONE>y Drivers License #: 66 �® or Date of Birth: 3/28/1954 //. Subtotal licensed pets from below: &/� Replacement Tags from below: Name: Lucky DOB: 4f940+2-Sex: Male License Fee $ Color: Black Breed: GoldenyRetriever Replacement: : Spayed/Neutere True ❑ / '��tt��q Mirochip # 9 3-1701001 � City Tag # 2123 Duration: 3 year vaccine Vaccination Date:-9/6/2014-, ! �0- q- p Vaccine Exp:-9/6/201T Total / 1. CITY OF BLAIR - 2019 PET LICENSE ADDITIONS � �� If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 Owner Name: Steven & Joan Suverkrubbe Owner Address: 1468 Oak Dr City/State/ZIP: Blair, NE 68008 V6.2-32 .➢ Phone #: <NO PRIMARY PHONE> LICENSE FEES: Dog or Cat: $16.00 Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat Operator Inspection Program Drivers License #: VL or Date of Birth: 3/28/1954 Subtotal licensed pets from below: Replacement Tags from below: Total: Allleey kDog ❑ Cat O(Spayed/Neutered License Fee $ Pet Name C�) Pet DOB . Sex Color ��i r'/'�/(/ Breed Declared Dangerous or Potentially Dangerous Dog? ❑ YjkN Microchip # :/_o Rabies Vaccination Date dAIV, j (3 yr 01 yr ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Age Sex Color Breed Declared Dangerous or Potentially Dangerous Dog? ❑ Y ❑ N Microchip # Rabies Vaccination Date ❑ Dog ❑ Cat Pet Name Color ❑ Spayed/Neutered Breed -O: Declared Dangerous or Potentially Dangerous Dog? ❑ Y ❑ N Sex License Fee $ 03 yr 01 yr License Fee $ Microchip # Rabies Vaccination Date 03 yr 01 yr t _.,..,,,*.,.a..✓'Si ,��..." tip° "' a r1 "f � �. � �¥ CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Timothy Svendgard Spayed/Neutered Dog or Cat: $11.00 Owner Address: 1184 Jackson St Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (402) 426-2066 Drivers License #: Name: Lucy Color: White Spayed/Neutered: True Mirochip # Vaccination Date: 1/30/2017 or Date of Birth: 1/4/1949 I Subtotal licensed pets from below: Replacement Tags from below: DOB: 1/1/2011 Sex: Female Breed: West Highland White Terrier Duration: 3 year vaccine Vaccine Exp: 1/30/2020 License Fee $ Replacement: ❑Y ON City Tag # 74 Total: / 1 • U f CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: SWEEZEY, JOANNE Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: PO BOX 123, C/O JOHN A BURBRIDGE Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: LOGAN, IA, 51546--0000 Operator Inspection Program Phone #: (402) 426-9261 Drivers License #: or Date of Birth: 7/13/1945 Subtotal licensed pets from below: Replacement Tags from below: Name: Izzy DOB: Not on File Sex: Female License Fee $ Color: White Breed: West Highland White Replacement: Spayed/Neutered: True Terrier ❑Y ON Mirochip # City Tag # 763 Vaccination Date: 3/8/2017 Duration: 3 year vaccine Vaccine Exp: 3/8/2020 Total: CITY OF BLAIR - 2019 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair ® 218 S. 16th St. • Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 Owner Name: :° I . Owner Address:V City/State/Zip: Blair, NE 68008 Phone # 30 t� �) Drivers License # or Date of Birth LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2019. The City shall recognize a microchip Identification number as the license number, It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination, included is a State Fee of S1.2s being collected to tuna the NebrasKa Docl & Cat PET # 1 -Dog ❑ Cat Spayed Neutered License Fee $ Pet Name " '� Aqe ! I It Sex i Color h & a 41 Breed * (.°Jjj haa Li(' Replacement $ Declared Dangerous or Potentially Dan erous Dog: ❑Iaa MICROCHIP # _ Cc�J r�h.` (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE.'?,2 6 (3 yr) (1 yr) `>(- City Tag # .� PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Agee Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ ■E (1 yr) License Fee $ Replacement $ ** SUBTOTAL: $ City Tag # * PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Aye Sex Color Breed * Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Donation to care for animals: $1 $3 $5 $10 Other, ***SEE BACK OF FORM FOR BREED SPECIFIC LICENSE REQUIREMENTS VISA / MC # Signature Do Not Send Cash by Mail TOTAL ENCLOSED $ Expires Security Code: If you have questions, please contact City Hall at (402) 426-4191 or by Fax: (402) 426-4195 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date not applicable fornewpets/new residents) Newly Acquired Pets: New Residents to Blair: ■ Must be licensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/ldtten residency. Client ID: 31156 Client Name: P.J, Swentik Address: 2809 Jack Pone Street Bellevue, NE 68123 Phone: (319)560-5659 Tag Number: 191021 Lot Number: 329987C Rabies Vaccination Producer: Zoetis K / MLV / R: Killed Virus 24TH STREET ANIMAL CLINIC 3258 South 24th Street Omaha, NE 68108 (402) 345-2211 Rabies Certificate Patient ID: Patient Name Species: Breed: Sex: Color: Markings: Birthday: Weight: Microchip ID: Vaccination Date: Expiration Date: Staff Name: Dr. 3970 Jessica Ramm DVM License Number: 3970 48291 Baby CANINE CHIHUAHUA/SMOOTH Spay White Tan 11 /02/2015 9.08 pounds on 3/13/2019 982000405802947 3/13/2019 3/13/2020